Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.33 / $238.33 / $238.33	Facility		$238.33	$238.33	$238.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.82 / $228.10 / $238.33	Professional		$198.82	$228.10	$238.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $299.86 / $576.65 / $807.31	Facility		$299.86	$576.65	$807.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.18 / $322.92 / $482.03	Professional		$281.18	$322.92	$482.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $522.45	Facility		$251.00	$251.00	$522.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $251.00 / $2,189.73	Professional		$183.23	$251.00	$2,189.73
United Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $345.78 / $345.78	Facility		$345.78	$345.78	$345.78
United Facility/Professional Professional Modifier Low / Median / High Price $167.96 / $230.15 / $383.58	Professional		$167.96	$230.15	$383.58